| NPI | 1154861466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BAILEY Clinical Psychologist 847-977-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007893) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-04-06 |